{
  "abstract": "Background The presence of family members caring for hospitalised children provides essential support and comfort, but it also poses a significant risk for the transmission of infectious pathogens. Vietnam is facing a growing issue with healthcare-associated infections (HAIs) and increasing antimicrobial resistance, reflecting a global trend. Children, particularly newborns with underdeveloped immune systems, are at increased risk.Aim This study aims to explore the awareness of HAIs as well as motivational drivers towards infection prevention through the lens of the Health Belief Model (HBM) among family caregivers of patients at a children’s hospital in Hanoi, Vietnam.Method Individual interviews, focus group discussions and observations were conducted with family caregivers ( n=24) of children and newborns at the Oncology and Neonatal ward at Vietnam’s National Children’s Hospital from 15 January 2024 to 3 March 2024. Participants were chosen by purposeful sampling. Data were analysed by abductive, qualitative content analysis based on the HBM.Result Awareness of HAIs varied, with some misconceptions about transmission. Recognising HAIs as serious health threats beyond basic hygiene knowledge boosted motivation to follow infection prevention and control (IPC) measures as well as longer hospital stays and social influences. Increased awareness of infection risks was linked to stronger adherence, aligning with HBM principles.Conclusion Family caregivers play a vital role in infection prevention, yet their awareness of HAIs is inconsistent and sometimes limited by misconceptions. This study highlights that perceiving HAIs as serious health threats is a key motivation of improved hygiene compliance, as in line with the HBM. Family caregivers play a vital role in maintaining a safe hospital environment, and their involvement in IPC strategies should be actively researched, supported and strengthened.",
  "authors": [
    {
      "affiliations": [
        "School of Global Studies, University of Gothenburg, Gothenburg, Sweden",
        "Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden"
      ],
      "name": "Rebecca Lindblom"
    },
    {
      "affiliations": [
        "School of Global Studies, University of Gothenburg, Gothenburg, Sweden",
        "Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden"
      ],
      "name": "Ngoc Anh Tran"
    },
    {
      "affiliations": [
        "The Training and Research Institute of Child Health, Hanoi, Viet Nam",
        "Department of Infection Prevention and Control, Vietnam National Children’s Hospital, Hanoi, Viet Nam"
      ],
      "name": "Van Anh Thi Dinh"
    },
    {
      "affiliations": [
        "Department of Infection Prevention and Control, Vietnam National Children’s Hospital, Hanoi, Viet Nam"
      ],
      "name": "Duyen Thi Kim Truong"
    },
    {
      "affiliations": [
        "Cancer Center, Vietnam National Children’s Hospital, Hanoi, Viet Nam"
      ],
      "name": "Hằng Thị Thu Nguyễn"
    },
    {
      "affiliations": [
        "Neonatal Center, Vietnam National Children’s Hospital, Hanoi, Viet Nam"
      ],
      "name": "Tùng Anh Trần"
    },
    {
      "affiliations": [
        "Department of Infection Prevention and Control, Vietnam National Children’s Hospital, Hanoi, Viet Nam",
        "Training and Research Academic Collaboration (TRAC) – Sweden – Vietnam, Hanoi, Viet Nam"
      ],
      "name": "Ngai Kien Le"
    },
    {
      "affiliations": [
        "Director Board, Vietnam National Children’s Hospital, Hanoi, Viet Nam",
        "Hanoi University of Public Health, Hanoi, Viet Nam"
      ],
      "name": "Nhung Nguyen Thi Trang"
    },
    {
      "affiliations": [
        "School of Global Studies, University of Gothenburg, Gothenburg, Sweden",
        "Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden",
        "The Training and Research Institute of Child Health, Hanoi, Viet Nam",
        "Department of Infection Prevention and Control, Vietnam National Children’s Hospital, Hanoi, Viet Nam",
        "Cancer Center, Vietnam National Children’s Hospital, Hanoi, Viet Nam",
        "Neonatal Center, Vietnam National Children’s Hospital, Hanoi, Viet Nam",
        "Training and Research Academic Collaboration (TRAC) – Sweden – Vietnam, Hanoi, Viet Nam",
        "Director Board, Vietnam National Children’s Hospital, Hanoi, Viet Nam",
        "Hanoi University of Public Health, Hanoi, Viet Nam",
        "Department of Global Public Health, Karolinska Institute, Stockholm, Sweden",
        "Department of Women's and Children’s Health, Karolinska Institutet, Stockholm, Sweden"
      ],
      "name": "I-CRECT-study group"
    },
    {
      "affiliations": [
        "Director Board, Vietnam National Children’s Hospital, Hanoi, Viet Nam"
      ],
      "name": "Tung Viet Cao"
    },
    {
      "affiliations": [
        "Training and Research Academic Collaboration (TRAC) – Sweden – Vietnam, Hanoi, Viet Nam",
        "Director Board, Vietnam National Children’s Hospital, Hanoi, Viet Nam"
      ],
      "name": "Dien Minh Tran"
    },
    {
      "affiliations": [
        "Training and Research Academic Collaboration (TRAC) – Sweden – Vietnam, Hanoi, Viet Nam",
        "Department of Global Public Health, Karolinska Institute, Stockholm, Sweden"
      ],
      "name": "Mattias Larsson"
    },
    {
      "affiliations": [
        "Training and Research Academic Collaboration (TRAC) – Sweden – Vietnam, Hanoi, Viet Nam",
        "Department of Global Public Health, Karolinska Institute, Stockholm, Sweden",
        "Department of Women's and Children’s Health, Karolinska Institutet, Stockholm, Sweden"
      ],
      "name": "Linus Olson"
    },
    {
      "affiliations": [
        "School of Global Studies, University of Gothenburg, Gothenburg, Sweden",
        "Training and Research Academic Collaboration (TRAC) – Sweden – Vietnam, Hanoi, Viet Nam"
      ],
      "name": "Bent Jörgensen"
    }
  ],
  "title": "Caregivers’ understanding and response to healthcare-associated infections in hospitalised children in Vietnam: a qualitative study",
  "uid": "7c8a7c37-64fe-561d-b6ba-46c6c73e84c0"
}